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Total Results: 1,527 records

Showing results for "incidents".

61. SOPS® Nursing Home Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
    September 01, 2024 - Patient Safety (Version 1.0) In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again ....

62. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - Participants: This study involved a retrospective review of hospital reported incidents. … Conclusions: This application effectively captured incidents, actions, and follow-up of certain areas … The rate of incidents reported was relatively similar to other reports. … (PAWEs are defined as incidents that have the potential to cause serious, life- threatening, or fatal … Incidents were detected through retrospective review of nursing home records in 3- month segments,

63. Overview (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
    March 01, 2017 - Feedback & Communication About Incidents Applying Safety Principles Senior Leader Engagement Teamwork

64. Identifying Barriers to the Success of a Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999;5:13–21. … Additional responses regarding care providers’ experience and participation in the mandatory review of incidents … further evidence of limited endorsement of the current processes of reporting errors and reviewing incidents … providers see value in reporting minor events and potential precursors that could lead to more serious incidents … Reasons for not reporting adverse incidents: an empirical study.

65. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
    January 01, 2010 - Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again.

66. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
    August 01, 2022 - These projects sought to understand how health care providers can best communicate medical errors and incidents

67. TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201904.html
    June 01, 2019 - Huddles help reduce communication errors and provide debriefing opportunities to learn from incidents

68. Fall Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
    January 01, 2024 - 3,088 62.8% 6,828 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … procedure 0.4% 504 NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … Under 18 Unknown None 62.5% 15 NOTE: The Risk Factor cells are calculated as the percentage of all incidents … assisted Dislocation 0.5% 23 NOTE: The Type of Injury cells are calculated as the percentage of all incidents … 80 Yes Dislocation 0.6% 24 NOTE: The Type of Injury cells are calculated as the percentage of all incidents

69. Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201526.html
    January 01, 2018 - One CUSP tool Waverly found most useful is the "Learn From Defects Tool," which helps reduce incidents

70. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    April 01, 2025 - Step 1: Prepare Your Organization Toolkit Infographic  (PDF, 743 KB) provides statistics about incidents

71. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/interimhacrate2014.html
    January 01, 2018 - As a result of the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

72. Appendix B. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
    August 01, 2022 - The “Seven Pillars” response to patient safety incidents: Effects on medical liability processes and

73. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - They include 16 classes of patient safety incidents (Table 1). … Although various patient safety incidents could be caused by a number of factors, Leape’s taxonomy reflects … A more recent report6 suggests that almost 60 percent of all patient safety incidents include: failure … This report also suggests the most lethal patient safety incidents—or those most closely associated … Two widely used taxonomies for patient-safety incidents and medical errors AHRQ PSIs Leape Typology

74. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - Feedback & Communication About Incidents ( More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again. ( More about this item

75. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
    January 01, 2024 - Data Sources/Collection Information on INR values, warfarin dosing, and warfarin-related incidents was … Abstractors identified possible warfarin-related incidents based on specified triggers: INR values of … Reviewers independently classified incidents, including whether a warfarin-related adverse event or … Nurse abstractors identified 782 possible warfarin-related incidents during the study. … We used the subsequent physician review process to cull incidents that were not found to identify a

76. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - healthcare facility with domain experts to establish the handling and impact of critical facility failure incidents … Each Building/Facility incident has a relationship with one or many incidents of the Failures class. … A number of facility failure incidents were identified, and the role of facilities management personnel … clinical personnel are very important in avoiding and minimizing the impact of facility failures or incidents … Ongoing initiatives to help track patient safety information and record incidents and close calls include

77. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is a risk manager available at all times to respond to patient safety incidents?

78. Daily Goals During Interdisciplinary Rounds: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
    February 01, 2017 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital

79. Module: Daily Goals During Interdisciplinary Rounds
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
    January 01, 2017 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital

80. Chapter 2. Background | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/acfselection/chapter2.html
    July 01, 2018 - A Mass Casualty Care Strategy for Biological Terror Incidents: Neighborhood Emergency Help Center. … A Mass Casualty Care Strategy for Biological Terror Incidents: Acute Care Center.